17C-201 (13) Lr-GVIr G'"U l 1✓
5 BRATTON CT COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot: CITY OF NORTHAMPTON
17C-201-001
Permit: Addition
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2022-0113 PERMISSION'S HEREBY GRANTE TO:
PContractor: License:
Est.roject# 2ND FLOOR ADDITION DAVID HARDY CSL043898
Cost: 160000
Const.Class: Exp.Date: 11/12/2023
Owner: PALUMBO LISA M&GREGORY ERA O
Use Group:
Lot Size (sq.ft.) DAVID A HARDY CONTRACTORDAVI A HARDY
Zoning: GB Applicant: CONTRACTOR
Phone: Insurance:
4 COOK RD Addresst 413-527-2655 2001 W8463
4
SOUTHAMPTON, MA 01073 2001 W8463
4 COOK RD 413-527-2655
SOUTHAMPTON, MA 01073
ISSUED ON:02/08/2022
TO PERFORM THE FOLLOWING WORK: ,
ADD 2ND FLOOR ADDITION
i
POST THIS CARD SO IT IS VISIBLE FROM THE STREET BuildingInspector
Inspector of Plumbing Inspector of Wiring D.P.W. p
Underground:
Service: Meter: Footings:
�— GQ,- 2� House # Foundation:
Rough+-'����� Rough: ��r
Final: Rough Frame:(' !< !o"K'ZZ lc'
?+rr.oc �Zy_rZ�Final:s _�y_ap� ��
Rough: i� `re Department Driveway Final: Fireplace/Chimney:
Final:
Oil: Insulation:0l. to-/3 . Zz K'.e
Smoke: Final: OR 91a.,q1aa. `i.1 I
A9-02". V[O ATION OF
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON
ANY OF ITS RULES AND REGULATIONS.
Signature: " jkoh1/4_, .)2 3-
Fees Paid: $1,040.00
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ex 44
212 Main Street, Phone(413) 587= 40,Fax:(413)587-1272
Office of the Buildine COmntissioner
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OKIAi77o iv c_ i
p Official Use Only
_•_ Commonwealth of Massachusetts
2 7 , too Permit No.ee'2-0ZZ—ate/
�., =tt =" Department of Fire Services
' c .r Occupancy and Fee Checked 14i�S�SJ
`" 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99]
;' (leave blank)
Wf C i" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
II All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
i = (PLANE PRINT IN INK OR TYPE ALL INFORMATION Date:
� 0.3 - i7- aoa,a.
'City or Town of: P/n t-A n c_.e.. To the Inspector of Wires: . i.
By t tls pplication the undersigned gives notice of his or her intention to perform the electrical work described below.
•
L ---' ' i Locatio (Street&Number) 5 g ra M Li Co br-el
Owner or Tenant b0A)4P_ u,d,y &Tyjj( Telephone No.S4,3-7$'67
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box)
Purpose of Building 1)t.0 tf/i n Q Utility Authorization No.
Existing Service Amps / J Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity e€
Location and Nature of Proposed Electrical Work: wipe_ 6�- ra6� l��rocrri . n',,Ad
Completion of the following table may be waived by the Inspector of Wires.
Total
No.of Recessed Fixtures No.of Ceil.-Sus . Paddle Fans No.ofKVA
P (Paddle) Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
Above ❑ la- ri❑ No.of Emergency Lighting
No.of Lighting Fixtures Swimming Pool
grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. Initiating Devices
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local 1-1 Municipal ❑ other
P Connection
No.of DryersHeating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiling:
No.H y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work ma) issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER 0 (Specify:)
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:1 n rub l 1Qlp� L Int- LIC.NO.: 9 53 f
an�
Licensee:' , S . ,ltet Signat re _ LIC.NO.:
(If applicable,enter"exempt"in the license rr '"^-r`ne.) Bus.Tel.No.- 1 A.-5; 19110
Address: S CO•f{Q �- Ea 5 Mt.Tel.No.:l/3-— 78
OWNER'S INSURANCE AIVER: I am aware that he Licensee does not have the liability insurance covers a normally
required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner 0 o er's agent.
Owner/Agent PERMIT FEE: $ 07S,O 0
Signature Telephone No.
A PpG30MrD
p MAR 2 2
J
50 4- 30 p7) w
Ck'*.1 ( 19 -)--.. 4 w.—
MASSACHUSETTS UNIFORM APPLICATION FO A P RMIT TO PERFORM WORK
F —t a.g gi
-_-_,—;,..0. --,- CITY Vp7*, l ere J
MA DATE S ac PERMIT#I ZOZZ- O/-
° i ;7
J08 SITE ADDRESS _ jS' 1 rt- OWNERS NAME Po,S limbo
POWNER ADDRESS TEL FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL V!
PRINT
CLEARLY NEW ❑ RENOVATION REPLACEMENT 0 PLANS SUBMITTED YES ❑ NO ❑
FIXTURES 1 FLOOR-4 BSM 1 2 r 3 r 4 5 6 7 8 9 10 11 12 13 14
-
BATHTUB _ _ � _ _
CROSS CONNECTION DEVICE _ _
DEDICATED SPECIAL WASTE SYSTEM _ —
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM _ _
DEDICATED GRAY WATER SYSTEM - _ L.
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER .
FLOOR/AREA DRAIN _
INTERCEPTOR(INTERIOR)
-
KITCHEN SINK _ ..
LAVATORY ROOF DRAIN pt{}MBING & GArS INSPECTOR
NARTHAMPTON
SHOWER STALL - . AP—PRO W T APPROVED .
i SERVICE/MOP SINK TOILET 1 i
URINAL _
WASHING MACHINE CONNECTION L
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES Q'j NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW •
LIABILITY INSURANCE POLICY I OTHER TYPE OF INDEMNITY 0 BOND 0
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT ❑
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application - t e I. accurat bes of y knowledge
4
and that all plumbing work and installations performed under the permit issued for this application will be" r• 1-with all i ent sion of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. I� /f •,
PLUMBER'S NAME Phillip Hurteau LICENSE# 10963 SIG A UREI
MP 0 JP❑ CORPORATION a# 2974 PARTNERSHIP❑# —_— LLC❑# ___
COMPANY NAME
Phillip's Plumbing& Heating, Inc.
ADDRESS 15 Arthur Street
_�_
CITY Easthampton STATE MA ZIP 01027 TEL 413-527-6340
FAX 413-527-2406 CELL 413-626-9725 EMAIL pph15arthurOgmail.com _
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